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Licensing</a></h3> </div> <div class="panel-body"> <ul class="nav navbar-nav leftNav"> <li><a href="/health/healthfacilities/certificate-need/guidance/">Guidance Memorandums </a> </li> <li><a href="/health/healthfacilities/certificate-need/ltc-transfer-ownership/">Long-Term Care Facility Transfer of Ownership </a> </li> </ul> </div> </div>    <div class="panel green"> <div class="panel-heading"> <h3 class="panel-title">Certificate of Need Decisions</h3> </div> <div class="panel-body"> <p>Full reviews of Certificate of Need applications are conducted by the State Health Planning Board, while expedited reviews are conducted by the Deputy Commissioner of Health Systems.</p> <p><a class="blue button" href="/health/bc/state-health-planning-board/decision-letters/">Full review decisions</a></p> <p><a class="blue button" href="expedited.shtml">Expedited review decisions</a></p> </div> </div> <div class="panel orange"> <div class="panel-heading"> <h3 class="panel-title">Inter-Hospital Transfer Agreements</h3> </div> <div class="panel-body"> <ul> <li><a href="/health/healthfacilities/certificate-need/transfer_agreement.shtml">Trauma Transfer Agreements</a></li> <li><a href="/health/healthfacilities/certificate-need/transfer_criteria.shtml">Transfer Criteria</a></li> </ul> </div> </div> </div> <div class="col-md-9 bodycopy">  <h2>Certificate of Need and Facility Licensing</h2> <div class="clearA"></div>  <div class="wrap has-sidebar" id="contentCell">  <a name="top"></a><ul class="glossary"> <li class=""><a href="#1" style="line-height:14px">Certificate of Need</a><br> </li> <li class=""><a href="#2" style="line-height:14px">Guidance</a><br> </li> <li class=""><a href="#3" style="line-height:14px">Full Review vs. Expedited Review</a><br> </li> <li class=""><a href="#4" style="line-height:14px">Health Facility Licensing</a><br> </li> <li class=""><a href="#5" style="line-height:14px">Certificate of Waiver</a><br> </li> </ul> <br/><div class="clearA"></div>  <a name="1"></a>  <div class="sectionTitle"> Certificate of Need </div>  <div class="mainText" id=""> <p>Certificate of Need is a regulatory process that governs the construction, relocation or renovation of certain healthcare facilities. The Certificate of Need program helps ensure that new facilities, or the expansion of existing facilities, meet the needs of the community. This helps to avoid investment in duplicate facilities.</p> <p>A <a href="http://web.doh.state.nj.us/apps2/forms/subforms.aspx?pro=healthfacilities" target="_blank" rel="noopener">Certificate of Need Application</a> begins an extensive review and separate approval processes for each type of application.</p> <p>The <a href="http://www.nj.gov/health/bc/shpb.shtml">State Health Planning Board</a> acts as an advisory panel to the Commissioner concerning recommendations on certificate of need applications.</p> <p><a href="https://healthapps.state.nj.us/forms/subforms_iframe.aspx?pro=healthfacilities#need-care" target="_blank" rel="noopener"><strong>Certificate of Need forms and applications</strong></a></p> </div> <a href="#top" class="topLink">Top ^</a> <a name="2"></a>  <div class="sectionTitle"> Guidance </div>  <div class="mainText" id=""> <table style="height: 323px;" border="1" cellspacing="0" cellpadding="6"> <tbody> <tr style="height: 17px;" bgcolor="#eeeeee"> <td style="height: 17px; width: 107.391px;"><strong>Number</strong></td> <td style="height: 17px; width: 107.312px;"><strong>Date</strong></td> <td style="height: 17px; width: 421.297px;"><strong>Title</strong></td> </tr> <tr> <td style="width: 107.391px;"> </td> <td style="width: 107.312px;">01/10/2023</td> <td style="width: 421.297px;"><a href="/health/healthfacilities/documents/CN/guidance_for_hospital_annual_meeting.pdf" target="_blank" rel="noopener">Guidance for a Remotely Conducted 2023 Hospital Annual Meeting</a></td> </tr> <tr> <td style="width: 107.391px;"> </td> <td style="width: 107.312px;">06/24/2021</td> <td style="width: 421.297px;"><a href="/health/healthfacilities/documents/Preventative%20services guidance 6-24-2021.pdf" target="_blank" rel="noopener">Preventative Services Guidance</a></td> </tr> <tr> <td style="width: 107.391px;"> </td> <td style="width: 107.312px;">06/24/2021</td> <td style="width: 421.297px;"><a href="/health/healthfacilities/certificate-need/AlternateCareLocationWaiver6-24-2021.pdf">Alternative Care Location Waiver</a></td> </tr> <tr> <td style="width: 107.391px;"> </td> <td style="width: 107.312px;">03/01/2021</td> <td style="width: 421.297px;"> <p><a href="/health/healthfacilities/certificate-need/03-01-2021_Memo-CertifiedMidwives_inBirthingCenters.pdf" target="_blank" rel="noopener">Waiver Recognizing the Practice of Certified Professional Midwives in Birthing Centers</a></p> </td> </tr> <tr> <td style="width: 107.391px;"> </td> <td style="width: 107.312px;">01/28/2021</td> <td style="width: 421.297px;"> <p><a href="/health/healthfacilities/certificate-need/Compliance_with_NJSA_30_13_18_new_minuimum_staffing_requirements_for_NH.pdf">Compliance with N.J.S.A. 30:13-18, New Minimum Staffing requirements for Nursing Homes</a></p> </td> </tr> <tr> <td style="width: 107.391px;"> </td> <td style="width: 107.312px;">10/31/2018</td> <td style="width: 421.297px;"> <p><a href="/health/healthfacilities/documents/CN/guidance/PaidDiningAsstCurr_10.2018.pdf">Curriculum to be Used for Paid Dining Assistant Training</a></p> </td> </tr> <tr> <td style="width: 107.391px;">Department of Human Services</td> <td style="width: 107.312px;">01/10/2018</td> <td style="width: 421.297px;"> <p>Division of Medical Assistance & Health Services (DMAHS)</p> <p><a title="Behavioral Health Outpatient Facility Billing FAQs & FQHC Behavioral Health Allowable Billing Codes" href="/health/healthfacilities/certificate-need/Behavioral_Health_Outpatient_Facility_Billing_FAQs_&_FQHC_Behavioral_Health_Allowable_Billing_Codes.pdf" target="_blank" rel="noopener">Behavioral Health Outpatient Facility Billing FAQs & FQHC Behavioral Health Allowable Billing Codes</a></p> </td> </tr> <tr> <td style="width: 107.391px;">Guidance 1-2017</td> <td style="width: 107.312px;">12/14/2017</td> <td style="width: 421.297px;"> <p><a href="/health/healthfacilities/documents/CN/guidance/guidance_1_2017.pdf" target="_blank" rel="noopener">Integrated Health – Outpatient Licensure and Inspection</a></p> </td> </tr> <tr style="height: 45px;"> <td style="height: 45px; width: 107.391px;"> </td> <td style="height: 45px; width: 107.312px;">10/19/2015</td> <td style="height: 45px; width: 421.297px;"> <p><a href="/health/healthfacilities/documents/ac/primary_care_facilities_permitting_sharing_of_clinical_space.pdf" target="_blank" rel="noopener">Waiver to Permit Sharing of Clinical Space</a></p> </td> </tr> </tbody> </table> <p> </p> </div> <a href="#top" class="topLink">Top ^</a> <a name="3"></a>  <div class="sectionTitle"> Full Review vs. Expedited Review </div>  <div class="mainText" id=""> <p>The Certificate of Need Application and Review Process is governed by Chapter 8, Section 33 of the New Jersey Administrative Code (N.J.A.C. 8:33).</p> <p>The full Certificate of Need review process is extensive and required for the construction, relocation, or renovation of certain healthcare facilities. There are separate approval processes for each type of Certificate of Need application. The Department of Health presents its recommendation on each Certificate of Need to the <a href="/health/bc/state-health-planning-board/">State Health Planning Board</a>, which acts as an advisory panel to the Commissioner of Health concerning recommendations on certificate of need applications.</p> <p>New Jersey law permits Expedited Review of Certificate of Need (ERCN) applications by the Department of Health, in lieu of the full review process, in certain circumstances set forth in N.J.A.C. 8:33-5. The expedited review process is less intensive. Each ERCN is evaluated by the Deputy Commissioner of Health Systems and the State Health Planning Board is not involved in the process.</p> <p>The table below includes the most common scenarios that require either a full or expedited Certificate of Need review. It is intended as an informational guideline only and not as a comprehensive reference.</p> <table border="1"> <tbody> <tr> <td><strong>Full Review Required </strong></td> <td><strong>Eligible for Expedited Review</strong><br />(excluding facility and project types listed under "full review," unless otherwise noted)</td> </tr> <tr> <td>Long term care projects, including general long-term care, ventilators and pediatric long-term care</td> <td>Establishment of a facility or service</td> </tr> <tr> <td>Rehabilitation beds</td> <td>New assisted living facilities</td> </tr> <tr> <td>Maternal and child health projects</td> <td>Change in capacity of an existing facility or service</td> </tr> <tr> <td>Pediatric intensive care</td> <td>Acquisition or replacement of major moveable equipment</td> </tr> <tr> <td>Children's hospitals</td> <td>Change in scope or location</td> </tr> <tr> <td>Psychiatric beds</td> <td>Change in cost</td> </tr> <tr> <td>Transplantation services</td> <td>Extension of time</td> </tr> <tr> <td>Mobile intensive care units</td> <td>Transfer of ownership of a general hospital</td> </tr> <tr> <td>Trauma units</td> <td> </td> </tr> <tr> <td>Home health</td> <td> </td> </tr> <tr> <td>Burn centers and programs</td> <td> </td> </tr> <tr> <td>New general hospitals</td> <td> </td> </tr> <tr> <td>Capacity changes to hospital sub-acute care units</td> <td> </td> </tr> </tbody> </table> </div> <a href="#top" class="topLink">Top ^</a> <a name="4"></a>  <div class="sectionTitle"> Health Facility Licensing </div>  <div class="mainText" id=""> <p>NJDOH licenses more than 2,000 regulated facilities statewide.  These include hospitals, nursing homes, assisted living residences, ambulatory care centers, home health care, medical day care and other types of health care facilities (<a href="/health/healthfacilities/about-us/facility-types/index.shtml">complete list</a>).  The licensing program licenses health care facilities in accordance with state and federal regulations.</p> </div> <a href="#top" class="topLink">Top ^</a> <a name="5"></a>  <div class="sectionTitle"> Certificate of Waiver </div>  <div class="mainText" id=""> <ul> <li><a href="/health/healthfacilities/documents/CN/Certificate of Waiver - Medication Assisted Treatment 3-10-2020 final.pdf">Medication Assisted Treatment</a> (<a href="/health/healthfacilities/documents/CN/Waiver FAQs - Certificate of Waiver-Medication Assisted Treatment for NJAC 10_161B providers.pdf">FAQ</a>) <ul> <li><a href="http://www.nj.gov/health/forms/sud-a1.pdf">SUD-A1 form</a></li> </ul> </li> <li><a href="/health/healthfacilities/documents/CN/Certificate of Waiver - Medication Monitoroing in Mental Health Facilities 3-10-2020 final.pdf">Medication Monitoring in Mental Health Facilities</a> (<a href="/health/healthfacilities/documents/CN/Waiver FAQs - Certificate of Waiver-Medication Monitoring in Mental Health Facilities for NJAC 10_37E providers.pdf">FAQ</a>) <ul> <li><a href="http://www.nj.gov/health/forms/mh-a1.pdf">MH-A1 form</a></li> </ul> </li> <li><a href="/health/healthfacilities/documents/CN/Certificate of Waiver - Medical Director Qualifications for Substance Use Disorder Facilities 3-10-2020 final.pdf">Medical Director Qualifications for Substance Use Disorder Facilities</a> (<a href="/health/healthfacilities/documents/CN/Waiver FAQs - Certificate of Waiver-Medical Director Qualifications for Substance Use Disorder Facilities for NJAC 10_161B Providers.pdf">FAQ</a>)</li> </ul> </div> <a href="#top" class="topLink">Top ^</a> </div>  <div id="Sidebar-Wrapper"> <div class="Sidebar-2"> <div class="panel-heading"> <h3 class="panel-title">Health Facility License Renewal</h3> </div> <div class="panel-body"> <p><a class="button blue" href="https://www.nj.gov//health/healthfacilities/ltc_epay.shtml">Long-Term Care Licensure Payments</a></p> <p><a class="blue button" href="https://www.nj.gov//health/healthfacilities/ac_epay.shtml">Acute Care Licensure Payments</a></p> <p><a class="blue button" href="https://dohlicensing.nj.gov/">Health Facilities Services Portal</a></p> </div> </div> <div class="Sidebar-1"> <div class="panel-heading"> <h3 class="panel-title">Additional Resources</h3> </div> <div class="panel-body"> <ul> <li>Certificate of Need Applications Status Report by County<br /><a href="/health/webdata/healthfacilities/documents/2019_cn_appls.pdf" target="_blank" rel="noopener">2019</a>   <a href="/health/webdata/healthfacilities/documents/2018_cn_appls.pdf" target="_blank" rel="noopener">2018</a>  <a href="/health/webdata/healthfacilities/documents/2017_cn_appls.pdf" target="_blank" rel="noopener">2017</a>   <a href="/health/webdata/healthfacilities/documents/2016_cn_appls.pdf" target="_blank" rel="noopener">2016</a>  </li> <li><a href="http://web.doh.state.nj.us/apps2/events/hospitalmeetings.aspx" target="_blank" rel="noopener">Hospital Meetings</a></li> <li><a href="/health/legal/cn_call.shtml">CN Call for Adult Psych Beds</a></li> <li><a href="/health/legal/rules/mhsud.shtml">Regulations Governing Mental Health and Substance Abuse Treatment Services</a></li> <li><a href="/health/healthfacilities/documents/CN/HealthFacilities_FluVaccinationProgram_memo10072020.pdf">Compliance with N.J.S.A. 26:2H-18.79 - 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